Berodual is an inhalation drug that is often prescribed to people with upper respiratory tract diseases, including bronchial asthma. The use of the drug is permitted even for children aged 6 years.
For which cough do inhalations with Berodual be used?
Therapy is used for various types of cough - both dry and wet. Berodual is usually prescribed to relieve symptoms and eliminate the root cause. Often prescribed in combination with other drugs.
The main purpose is the treatment of cough caused by various infectious and non-infectious diseases. The main symptom: significant or slight narrowing of the airways. Allowed for bronchospasm, but only reversible. Self-medication is prohibited.
Can be used for the following diseases:
- Bronchial asthma in various forms.
- Pneumonia, chronic or acute.
- Obstructive bronchitis.
- Chronic obstructive pulmonary disease.
Sometimes used to relieve symptoms of severe allergic reactions. Berodual is good for itchy coughs.
Effect of the drug Berodual
The main active ingredient of the drug is ipratropium bromide. If a person is prescribed to take it, it means that he is suffering from a severe cough caused by an illness, allergies, or frequent exposure to smog or cigarette smoke.
This drug allows you to reduce the sensitivity of the bronchial walls and reduce its reaction to irritating factors. It blocks cholinergic receptors, allowing you to get rid of bronchial spasms.
It also allows you to normalize the functioning of the endocrine glands. Helps get rid of cough with thick sputum, reduces the amount of mucus produced.
Relaxes the bronchi and blood vessels, helps get rid of swelling.
The following effects are typical:
- Relieving cough, getting rid of it.
- Normalization of breathing.
- No wheezing in the lungs.
Absolutely not effective against bacterial infections.
How to do inhalations with Berodual
To do this, you can purchase a special device - a nebulizer. This will allow the drug to be evenly distributed throughout the body.
For children
If you just need to get rid of regular bronchospasms, then the drug should be used only once a day.
This course is suitable if the child is practically not sick or is undergoing therapy with other drugs. If we are talking about a long course, the drug is used no more than 3 times a day.
Sometimes this amount increases up to 4 times - in case of emergency. The principles of the procedure are no different from treating an adult.
Sometimes Berodual is used to treat diseases of the upper respiratory tract and cough in infants. In this case, the duration of the course is about 5 days - until the medicine runs out.
An infant is prescribed 2 drops of the drug at a time. For a six-month-old - about 5. The formula often used is 1-2 drops for every 10 kg of the child’s body. The dose should not exceed 10.
For adults
The solution is used both before and after meals - it doesn’t matter, the person will feel better and will begin to breathe freely. On average, about 20 drops are used per Berodual dose. Frequency of use: 3-4 times a day, unless doctors say otherwise.
The required amount is measured using the container included in the kit. To stop an attack or severe cough, pour the medicine into a special device - a nebulizer. Place the included mask on your mouth.
Then take a deep breath through your mouth and hold your breath for at least a few seconds. Exhale, but through the nose. Continue to do this until the medicine runs out. After this, rinse the device thoroughly and leave it to dry in a dry, warm place.
Advice: “No need to use excess drug for the next procedure.”
Berodual with saline solution
To start breathing freely, some use Berodual in combination with saline solution. For this purpose, a special release form is purchased - in the form of a liquid solution.
Mixed in the following proportions:
- The prescribed amount of the drug, 4 ml of saline solution.
- 10-15 drops of cough medicine, 4 ml of Lazozvan, the same amount of saline solution.
Under no circumstances should you use distilled water or any other chemical compounds. The effect can be quite unpleasant and unexpected, such as serious complications.
Stir the preparation thoroughly, achieving a uniform color and consistency. Carefully pour it into the nebulizer and begin treatment according to the algorithm already described a little above.
After the procedure, it is not recommended to go outside for half an hour. It is better to refrain from eating and long conversations. You can't take antidepressants.
Contraindications and side effects
The drug has no serious side effects.
But if the rules of inhalation are violated, the following symptoms are characteristic:
- Feeling of a “dry throat”, slight soreness.
- Trembling in limbs.
- Dizziness, weakness, increased sweating.
- Nausea and vomiting.
- Heartbeat too fast.
- Coughing.
- The appearance of rashes and redness throughout the body.
Before the first use, it is better to take a small dose of Berodual to check how the body reacts to the drug. If you have any concomitant diseases, you should consult your doctor.
It is better not to use the medicine during pregnancy in the 1st and 3rd trimester. Prohibited if you have heart disease, including tachycardia. The list of diseases that you should be careful with also includes diabetes.
It is worth combining Berodual with other treatment regimens with caution. When undergoing any therapy, it is better to consult and carefully study how all drugs interact with each other.
Is Berodual addictive?
Berodual is not addictive, but many patients complain of this side effect. The reason lies in psychological dependence - over time, it seems that the medicine is not working well, and the cough remains. The person begins to deliberately increase his dose.
If such an “effect” is detected, it is better to simply change therapy. You need to inform your doctor about addiction and together with him choose a new medicine.
What to do if the cough gets worse after inhalation?
You should not stop therapy on your own, even if the cough gets worse and worse. It is necessary to observe the behavior of your body, determine the nature and frequency of new attacks.
If the situation is serious, contact your doctor. In this case, a different medicine is usually prescribed or the dosage is changed. In exceptional cases, treatment is started with a simple saline solution (most often for children).
Self-medication is prohibited. An attempt to ignore alarming symptoms will lead to the development of a serious allergic reaction, accompanied by rashes, irritation and deadly angioedema.
Summarizing
Berodual is a good solution for inhalation with virtually no side effects. It is well suited for use on dry and wet coughs. Used to treat adults and children over 6 years of age.
Source: https://nebulaizerom.ru/preparat/s-berodualom-pri-suhom-kashle
Inhalations with Berodual for dry coughs in adults and children - Website about proper inhalation
Every adult and child encounters a cough many times in their lives, which is our body’s protective reaction to an infection or an allergen. By its nature, it can be wet (with sputum) or dry (painful condition, dry airways).
An itchy cough indicates the presence of asthma and provokes a lack of air, difficulty breathing and the occurrence of bronchial spasms.
Bronchospasm is a pathology that causes a dry cough with attacks of suffocation due to narrowing of the bronchial tissue. This dangerous process can lead to oxygen starvation and death.
Pharmacological properties and medical indications for use
Modern pulmonology effectively fights asthmatic attacks with bronchodilator drugs. These drugs include Berodual - a local non-hormonal medicinal product in the form of a solution for inhalation or a ready-made aerosol. Chemical composition: 500 mcg fenoterol hydrobromide and 250 mcg ipratropium bromide.
Inhalations with Berodual for adults and children are widely used in the treatment and prevention of:
- Dry cough with bronchitis, bronchial asthma, pneumonia.
- Respiratory tuberculosis.
- Emphysema of the respiratory tract (destruction and expansion of inflamed pulmonary walls).
- Cough syndrome with pharyngitis and laryngitis.
- Chronic obstructive bronchitis.
The therapeutic effect of Berodual for cough is based on the following functions:
- antispasmodic (spasm formation is stopped, tension in the pulmonary muscles is relieved);
- bronchodilator (the blood vessels of the bronchi and pulmonary lumens dilate);
- decongestant (pulmonary edema is reduced, the amount of sputum is reduced).
Pharmacological effects:
- The drug is designed to restore respiratory function without interfering with gas exchange.
- Fenoterol enhances mucociliary clearance (the protective reaction of the mucous membranes of the respiratory organs).
- Prevents the release of inflammatory mediators, i.e. prevents cells that initiate pathogenic processes from multiplying. Blocking of dangerous spasms is carried out by stimulating beta2-adrenergic receptors (responsible for the tone of the bronchial muscles) and consistent expansion of the bronchioles.
- Ipratropium neutralizes the reflex narrowing of the bronchial tree.
The medication is prescribed by a doctor; independent use is not recommended. The specialist prescribes in the prescription: how to do inhalations with Berodual, how many days you can do inhalations, how many minutes the procedure lasts, how to prepare the solution, procedure time and breathing algorithm.
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Inhalation technique for adults and children
For dry, wet, suffocating cough, it is important to inhale the medicinal solution through a nebulizer (an ultrasonic device that sprays the active substance directly onto the bronchi and lungs).
How to dilute Berodual for inhalation? For inhalations with Berodual and saline solution (a mixture of sodium chloride and distilled water), the following ratio of drugs is provided: a few drops of Berodual: from 5 to 50 (0.5 - 2.5 ml) mixed with 4 ml of saline solution (the amount of active substance depends on age patient, form and severity of the disease).
The permitted daily volume of Berodual: in infancy no more than 10 drops, in preschoolers no more than 40 drops, in adults no more than 80 drops.
In adults (time from 5 to 10 minutes - 3 times a day):
- Dilute 4 ml of the active substance (80 drops) with 4 ml of saline solution - for asthmatic attacks;
- 2 ml Berodual (40 drops) + 2 ml solution – dry cough for bronchitis, pharyngitis;
- 2.5 ml + 40 drops of saline solution – a mild form of the disease.
In children (duration of inhalation from 3 to 5 minutes, no more than 5 days):
- children under 6 years old in the ratio: 2 - 10 drops per 2 kg of weight + 40 drops of sodium chloride;
- child from 6 to 12 years old: from 1 - 2 ml of medicine + 60 drops of sodium chloride or 3 ml of substance + 80 drops of solution in severe cases.
How often can inhalation be done? The break between sessions is no more than 4 hours.
The saline solution is stored in a cool place. It is better to purchase it in the form of disposable ampoules in plastic packaging. This makes storage and use easier. Prepare the solution for inhalation with clean hands, pour the substances with a sterile syringe.
IMPORTANT: do not allow the medication to get into your eyes. Breathing algorithm: take a deep breath through your mouth, then stop breathing for two seconds and exhale evenly through your nose.
The effectiveness of this method of treating cough is ensured by the continuous supply of medication, direct and uniform delivery to problem areas, rapid fight against bacteria, and the possibility of use at high body temperatures.
For inhalations, Berodual is often combined with mucolytics (Ambrobene, Lazolvan) or glucorticoids (Pulmicort). Berodual is also available in cylinders with a special nozzle, which ensures immediate use without the help of a nebulizer.
How many times a day should you breathe the aerosol: in children over 6 years of age, use in the form of 2 inhalation injections at a time, no more than 2 times a day (4 inhalations), in adults no > 8 breaths daily.
Correct breathing: exhale all the air, shake the bottle and turn it upside down, press the nozzle tightly to your lips and inject a stream of medicine while taking a deep breath. Pause and exhale.
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List of contraindications and side effects of Berodual
You should not use inhalations if one of the following diseases is present:
- Allergic reaction to fenoterol hydrobromide, ipratropium bromide.
- Heart diseases: cardiopathy (pathological increase in myocardial size), tachyarrhythmia (disturbances in heart rhythm), vascular insufficiency, myocardial infarction, heart defects, coronary artery disease.
- The period of pregnancy and breastfeeding.
- Diabetes.
- Cataract (crystal clouding).
- Cystic fibrosis (genetic damage to the respiratory system, liver and glands).
- Prostate enlargement.
- Glaucoma (increased intraocular pressure).
- Hypertension (high blood pressure).
If side effects occur (nausea, vomiting, dizziness, tachycardia, migraine, nervousness, weakness, convulsions, problems with urination, visual disturbances, eye pain, skin rash, urticaria and allergic edema), you should stop treatment and consult a doctor.
Correct use of Berodual for inhalation will allow you to avoid symptoms of overdose: tremor (involuntary muscle contraction), dry mouth, rapid heartbeat, increased pulse, surges in blood pressure, broncho-obstruction (obstruction of the bronchi), heaviness in the chest.
Is it possible to cope with intoxication in a child on your own? It is better not to risk children's health and call emergency medical help.
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Drug interactions Berodual
Berodual inhalations are not the main treatment for asthma; they are an additional measure in the fight against bronchospasms. The complex effect combines the administration of antibiotics, mucolytics, antihistamines and antivirals, and glucocorticoids. Consider the following drug interactions:
- Anticholinergics (Atropine, Pentamin, Pirenzepine) and xanthine derivatives (Ephedrine, Theophylline, Berotek, Caffeine) increase the side effects of fenoterol.
- Hydrocarbon anesthetics (Enflurane, Halothane) cause side effects on the heart and blood vessels.
- Tricyclic antidepressants (Imipramine, Doxepin, Nortriptyline), MAO inhibitors (Iproniazid, Nialamid, Selegiline) enhance the effect of Berodual.
- Beta-blockers (Anaprilin, Blockarden, Flestrolol, Levatol) significantly reduce its effectiveness.
- Diuretics (Furosemide, Ezidrex, Amiloride, Chlorthalidone) and steroids (Cortisol, Dexamethosone, Prednisolone) contribute to hypokalemia (low potassium concentration in the blood plasma).
- Cromoglicic acid (against allergies and asthma) makes a good combination.
- Berodual for cough occupies a leading position among bronchodilator drugs and is widely used in pediatric and adult practice for the treatment of chronic and acute infections of the respiratory system.
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Source: https://gdp-1-kbr.ru/instruktsii/ingalyatsii-s-berodualom-pri-suhom-kashle-vzroslym-i-detyam.html
Can Berodual be used for dry cough?
Inhalation with Berodual for dry cough provides the following:
- relaxes the smooth muscles of the bronchi, reducing the severity of a cough attack;
- facilitates inhalation and exhalation of air, reducing the resulting tissue hypoxia;
- reduces swelling of the mucous membrane of the bronchial tree.
Berodual is indicated for use for dry coughs or to improve expectoration of sputum during wet coughs. The drug will improve the discharge of bronchial mucus and facilitate expectoration. The therapeutic effect of inhaling the medication lasts up to 6 hours.
Berodual is prescribed to children from the age of one. Indications for use are the same as for adults.
Despite the fact that Berodual for inhalation for dry cough will be an effective remedy for alleviating the symptoms that arise, you cannot do procedures with the medicine yourself: incorrect dilution or an incorrectly calculated dose can cause the development of adverse reactions.
Indications for use
Breathing Berodual with a dry cough is necessary for any diseases of the bronchi or lungs:
- cold infections;
- the appearance of bronchial obstruction;
- emphysema;
- asthma;
- tuberculosis (to facilitate expectoration during wet and dry cough);
- severe forms of pneumonia.
Berodual does not affect the nature of sputum. The main effect of the drug is to relax the tense muscles of the bronchial tree and facilitate breathing.
For a dry cough, inhaling Berodual through a nebulizer will only reduce the severity of a cough attack, therefore, to thin and improve expectoration, additionally, after using Berodual, inhalations with other medications are prescribed , thinning the mucus in the bronchi and stimulating the release of accumulated secretions.
Features of application
To relieve attacks of dry cough, Berodual must be taken via nebulizer inhalation. In the chamber of the device, the solution is broken into small molecules and, in the form of an airborne suspension, penetrates the respiratory organs, relieving dry cough.
For inhalation you cannot use:
- hot water containers;
- heated devices for steam inhalation.
- Such use will not harm the body, and a person will even feel a slight relief from a dry cough, but not due to the beneficial effect of Berodual, but due to inhalation of moist vapors, and the drug will be destroyed under the influence of high temperatures.
- If you don’t have a nebulizer and there is no need to purchase a device, but you have prescribed Berodual for a dry cough, then you should buy an aerosol in cans (available for people with chronic diseases of the lungs and bronchi).
- The aerosol can should be used as follows:
- tightly wrap your lips around the mouthpiece of the inhaler;
- exhale;
- While slowly inhaling air, press the canister 1-2 times.
But Berodual in the form of an aerosol for dry cough can only be used by adults - in a child, an incorrectly chosen dose can cause adverse reactions.
If you have children at home, you should purchase a nebulizer. The device is not very expensive, and inhalations will help not only with dry cough, but also with other symptoms of bronchopulmonary diseases.
Dilution rules and dosage
First of all, it is important to remember: for inhalations against dry cough and other conditions, Berodual can only be diluted with saline solution: using distilled water, mineral water or other liquids will result in Berodual not helping.
For dilution you need to take 2-3 ml of saline solution . It is necessary to dilute Berodual before use: you cannot prepare the solution in advance or add liquid remaining in the nebulizer from the previous procedure - this will reduce the quality of treatment and may provoke the appearance of unwanted reactions.
The dosage of Berodual should be prescribed by the attending physician:
- For children under 6 years of age, a single dose is calculated based on weight (a drop per 2 kg), but for one inhalation take no more than 8 drops:
- over six years of age, 10 drops per procedure are recommended;
- Children over 12 years of age and adults are prescribed 20 drops for one-time use.
Before inhalation, the severity of the condition that arises is also taken into account. In case of an attack of suffocation against the background of a dry cough, the dosage of Berodual can be increased by one and a half times.
Berodual for children with a dry cough is given only in the dosage prescribed by the doctor. If the therapeutic effect is insufficient, you should consult your pediatrician about taking medications or additional nebulizer inhalations with other medications.
The duration of one procedure is no more than 5-7 minutes, and therapy is continued for 3-5 days.
It is important to remember that the therapeutic effect of Berodual for dry cough lasts about 6 hours, so inhalations must be done at intervals of 4 hours or more. Frequent inhalation of Berodual will not eliminate dry cough faster, but will provoke the development of undesirable effects.
Contraindications
Berodual should not be used for dry cough if the patient has:
- individual intolerance to the components of the drug;
- hypertension (there is a risk of developing a hypertensive crisis);
- heart rhythm disturbances;
- heart pathologies;
- glaucoma and cataracts;
- prostatitis or adenoma;
- diabetes;
- vascular diseases;
- breast-feeding;
- pregnancy.
Despite the fact that most annotations for the drug list pregnancy as a contraindication, Berodual can be used for dry cough in late stages of gestation.
This is due to the fact that the drug has a local effect, entering the general bloodstream in small quantities, so it has almost no effect on the formed fetus, but abdominal tension with a strong dry cough is harmful for the expectant mother.
Berodual should not be used only before childbirth - labor may be disrupted.
Side effects
If the drug for dry cough is prescribed taking into account contraindications and the dosage selected by the doctor is followed, then most patients tolerate Berodual therapy well.
In rare cases, the following may appear:
- nausea (sometimes vomiting develops);
- dizziness;
- headache;
- dry mouth;
- irritation of the bronchi, causing an increase in dry cough.
Some patients develop a skin rash, tachycardia, or increased blood pressure.
Most often, the appearance of signs of deterioration in health is associated with improper preparation of solutions, the use of old mixtures, or inhalations performed more often than after 4 hours.
Moderate deterioration in health will go away on its own after the medication is removed from the body, but in case of severe disorders, medical help is needed. There is no antidote for Berodual - therapy is aimed at eliminating the symptoms that appear.
The use of Berodual for dry cough can quickly relieve severe symptoms and stop a painful attack that prevents you from breathing fully. But the therapeutic effect of using the medication will be if you follow the dilution rules, do not exceed the dosage and do not inhale more often than prescribed.
Sources:
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Source: https://pillsman.org/27826-berodual-pri-suhom-kashle.html
Inhalations with Berodual for dry cough at night
Berodual is one of the most effective bronchodilator medications. The active components in it are fenoterol and bromide. Doctors quite often prescribe inhalations with Berodual for dry coughs, since such procedures provide a positive result in treatment.
Efficiency of the product, principle of operation
We will try to determine the principle of action of the drug for different types of cough. Here is what a specialist, a pulmonologist with extensive experience, notes when speaking about Berodual: “Berodual has ipratropium bromide and fenoterol as its main components. The systemic effect of the drug ensures a minimal level of absorption of the active components into the bloodstream.
This is what allows us to achieve almost complete elimination of side effects. The aerosol acts directly on the bronchi and respiratory system. This is extremely important, since medications in tablets, mixtures and syrups, and herbal decoctions greatly affect other organs and body systems, in particular the gastrointestinal tract.
And this effect is most often negative, associated with side effects, and in some patients can even cause complications. I prefer to prescribe Berodual for dry cough. Among inhaled drugs prescribed for adults, this drug occupies one of the first places. You can do inhalations with Berodual and saline.”
Let's consider the principle of action of this drug. Here are the key points.
- The drug is prescribed for the negative effects of cold air and tobacco smoke, which cause shortness of breath, bronchospasm and cough. Breathing Berodual is useful for relieving negative effects.
- Berodual is effective for wet coughs and dry coughs, when sputum is no longer easily separated.
- The muscles of the bronchi relax, which stimulates the process of expectoration of all the mucus that accumulates when coughing.
- The medicine limits the spastic contraction of bronchial smooth muscles, which are characteristic of a dry cough.
- Fenoterol, used in therapeutic doses, actively stimulates b2-adrenergic receptors. When the dose is increased, b1-adrenergic receptors are stimulated. The blood vessels and bronchi relax, which prevents bronchospasm. This helps if the negative impact is histamine, allergens, or cold air.
- When the dose of the drug used reaches the level of 600 mcg, the mucous membranes of the respiratory tract begin to be freed from accumulations of secretions. As a result, breathing becomes much easier.
For which cough is it still better to use the remedy? Doctors say that the drug helps with different types of cough. You can also start with saline inhalation if you have doubts about the therapy.
Remember that there is no need to self-medicate. It is the doctor who must prescribe Berodual. He will determine the optimal dose of the drug used, which can only be done after an appropriate examination. And you can forget about coughing with Berodual.
Why are inhalations useful?
A wet, dry cough begins to go away precisely because of the inhalation of berodual. Experts note that it is useful to carry out inhalation therapy, since the aerosol has a targeted effect and prevents side effects.
Why is inhalation so attractive? It turns out that 16% of the drug remains in the respiratory tract, having an active positive effect on the respiratory system.
In this case, the rest of the medicine is simply swallowed. If we compare inhalation with dosing by other methods, the concentration of the drug in the blood plasma is a thousand times less.
It is precisely this low absorption into the blood that protects a person from side effects.
Let us dwell on the temporary stages of the influence of the product.
- The patient’s breathing is restored, and the coughing attack is relieved just 15 minutes after the end of the procedure.
- The maximum effect of the active components lasts for two hours.
- The effect is even longer: it lasts for as long as 6 hours.
Provides relief from paroxysmal and suffocating coughs. The bronchi expand, sputum is cleared well. The natural process of gas exchange is preserved, since the active substances of the inhalation product do not cause disruption.
Indications, contraindications
It is important to be well versed in contraindications and indications for the use of Berodual.
Indications for use of the product are as follows.
- Let's start with the absolute reading. This is the inability to deliver the drug in another way. Relevant for an asthmatic attack, which is quickly stopped with berodual.
- An effective remedy for diseases of the lower and upper respiratory tract.
- A persistent, suffocating, paroxysmal cough also becomes the main indication for use.
- The drug helps with obstructive syndrome that occurs against the background of tuberculosis of the bronchi and lungs.
- Bronchospasms that appear during severe pneumonia are relieved.
- Pulmonary emphysema is treated with berodual.
- The product is often used by people suffering from bronchial asthma.
Let us note an important point: doctors have the most difficulties when treating coughs in children.
It is more difficult to carry out therapy with a child, since there is a high probability of complications, side effects, and allergic reactions.
Children are prescribed Berodual for inhalation for dry cough, which is especially difficult to treat. This is due to the mildness of the drug’s effect and its directed effect on the organs of the respiratory system.
Sometimes the question arises: for which cough should this drug be used in a child? It turns out that it helps especially well with annoying coughs. Children are susceptible to medications, but Berodual is absolutely safe for them. And for children it is easier to carry out the prescribed inhalation: they are interested in the procedure, the process itself. Adults also like to use inhalations for coughs: everything is simple, economical, and convenient.
Note! For dry cough in children, inhalations with Berodual are done according to a specific schedule, changing the dosage and number of procedures per day. Only a specialist can determine the optimal treatment system.
Source: https://lkray-promo.ru/kashel/ingalyatsii-s-berodualom-pri-suhom-kashle-na-noch/
Inhalations with Berodual for dry cough for children and adults
Berodual for dry cough is a medication that can be purchased on pharmacy shelves in several forms: an inhalation solution and a special aerosol.
The first type is most often used, but pulmonologists can also prescribe the second. It is necessary to familiarize yourself with the features of the composition, the effect on the respiratory system, and the nuances of use.
This will allow you to achieve a quick and trouble-free cure for cough.
Composition and benefits
The list of components of the product contains two leading compounds, which are fenoterol and ipratropium bromide. The first of them helps to normalize the size of the bronchial ducts and blood vessels, and has a relaxing effect on the respiratory tract and their muscles. Facilitation of exudate removal deserves special attention.
The second component of Berodual for dry cough is valued because it is responsible for blocking receptors that provoke spasms during inflammatory changes. This speeds up recovery and minimizes the likelihood of adverse reactions, increased sensitivity to smoke or cold air.
Acting in symbiosis, the specified components in the composition of Berodual:
- provide relief from spasms;
- fight against narrowing of the bronchial lumen;
- facilitate respiratory activity and removal of exudate.
The combination of two substances guarantees a long-lasting effect. According to experts, the effect of the drug will last approximately five to seven hours and may vary depending on the patient’s age, weight category, and the presence or absence of complications.
Indications and contraindications
Berodual for dry cough is not the only guide to its therapeutic use, note:
- prevention of bronchial asthma;
- exclusion of pathologies associated with respiratory dysfunctions;
- nonproductive cough after recovery;
- residual urge due to obstructive bronchitis;
- progressive asthma;
- cough due to an allergic reaction, as well as its barking form;
- chronic and obstructive form of the disease.
The use of the medication is unacceptable in the entire list of diagnoses. First of all, this is any trimester of pregnancy and the period of breastfeeding.
Contraindications to the use of Berodual for dry cough are heart pathologies: cardiomyopathy, problems with vascular permeability.
They refuse the drug due to a high degree of susceptibility to the components of the drug.
Consultation with a pulmonologist before a rehabilitation course is advisable if a person has diagnoses such as glaucoma (clouding of the lens of the eye, the appearance of a tumor in this area), type 1 and type 2 diabetes mellitus. This is relevant for hypertension, pathologies of the heart, blood vessels and endocrine glands.
How to perform inhalations
The nuances and characteristics of the use of Berodual for inhalation for dry cough differ depending on the age category. That is why, before carrying out a rehabilitation course, a consultation with a pulmonologist is required.
In childhood
Treatment can also be carried out for children. Up to six years of age, with a weight of less than 19-21 kg, inhalations are carried out only under specialized supervision. It is recommended to stay in a hospital setting.
Pulmonologists insist on observing the following dosages of the medication:
- start treatment not with the amount of the drug according to the instructions, but with the following ratio: one drop of the substance for each of the 12 months of the child’s life + three to four ml of 0.9% sodium chloride solution (saline);
- at home, it is recommended to start with a minimum amount - 1 drop per 3-4 ml of a special composition;
- procedures in childhood should not last longer than five minutes.
The maximum dosage of medication for a child within 24 hours is 10 drops. The intensity and duration of exposure, depending on the type of urge, should not exceed three repetitions during the day.
For adults
For adults, the composition is prescribed as inhalation as part of the complex treatment of asthma and related urges. This is necessary for recurrent attacks, obstructive changes and difficulties in removing sputum. You cannot do without Berodual when relieving spasms and pain.
The dosage and additional components are prescribed by a pulmonologist. The minimum amount for an adult, divided into three to four inhalations, will be no less than 40 and no more than 80 drops.
The maximum permitted dosage of Berodual for adults with dry cough for a single cycle of administration should not exceed 20 drops. The exception is aggravated suffocating attacks of coughing and therapy in a hospital or hospital setting.
How to use the aerosol
The medication is available in two forms, and the aerosol has certain advantages. You can always carry it with you to use as needed as follows:
- the cap is removed;
- turn the container over with the spray side down;
- exhale air from the pulmonary area;
- insert the mouthpiece directly into the mouth;
- press the bottom of the inhaler and take a deep breath;
- pull out the sprayer and don’t forget to exhale.
One click corresponds to the same number of injections of the drug into the problem area.
The canister contains 200 doses of aerosol, which usually coincides with the frequency of applications.
It is recommended to carry out no more than two sprays at one time.
Additional data
Berodual for any form of cough is perfectly combined with medications intended to treat pathological abnormalities of the respiratory system. It enhances the effectiveness of glucocorticosteroids, as well as drugs containing cromoglycic acid.
Storage of the medicine must be carried out according to certain rules. It is advisable to do this at temperatures up to 30 degrees. Shelf life is 60 months.
Price and analogues
The cost of the drug may vary depending on the city and the specific pharmacy chain. On average it ranges from 270 to 280 rubles.
Analogues that are used when the use of Berodual is inadmissible are Intal, Combivent, Ditek and other compositions. Before starting treatment with any of the substitutes, it is recommended to consult a pulmonologist.
Source: https://stop-kashel.ru/ingalyatsii-s-berodualom-pri-suhom-kashle-dlya-detej-i-vzroslyh/
Berodual solution for inhalation for cough
Therapists and pulmonologists use a variety of means to stabilize the condition of patients with impaired respiratory system function.
Inhalations with Berodual for dry cough are used to expand and prevent bronchospasm. Appropriate rehabilitation is carried out in a hospital under the supervision of a doctor.
You can use the medication yourself only in rare cases after an individual prescription from a doctor.
What cough does Berodual help with?
Berodual is a combined synthetic agent to eliminate spasm of the smooth muscles of the respiratory tract. The drug should not be used only to combat dry or wet coughs due to the risk of side effects.
Active components of the product:
- ipratropium bromide with a total dose of 250 mcg;
- fenoterol in an amount of 500 mcg.
The drug is available in the form of a solution, which must be inhaled through special inhalers. Bottle volume 20 ml. The medicinal liquid is colorless with a faint aroma. The package additionally contains instructions for using the medication and a pipette for dosing the drug.
Berodual for coughing can be prescribed if there is a spasm of the respiratory tract, or to expand the corresponding passages in order to increase the discharge of sputum during the use of expectorants. Parallel stimulation of the ciliated epithelium accelerates the mechanical movement of mucus outward.
Important! Berodual is prescribed for dry cough caused by a narrowing of the lumen of the bronchi due to allergic, mechanical or chemical effects. Treatment of wet cough with an appropriate remedy in isolation is ineffective.
Is Berodual for inhalation the only form of treatment?
Inhalation with Berodual for dry cough is the main form of use of the medication. Treatment is carried out under the strict supervision of a doctor to prevent the development of undesirable consequences or complications.
Important! Inhalations at home are allowed for patients with bronchial asthma or another form of broncho-obstructive syndrome, when standard short-acting drugs (Salbutamol) do not provide the desired effect. You can take the medicine only after mastering the skills of correct inhalation through a nebulizer or metered dose aerosol inhaler (MDI).
The dose in each case is selected individually, depending on the severity of bronchial obstruction. The medicine is intended for inhalation use. A pronounced local effect on the respiratory tract is achieved without systemic effects on the patient’s body.
Ingestion is fraught with the development of serious complications. Before using the medication, the nurse or patient dilutes it with saline (0.9% NaCl) in the proportion corresponding to the dosage prescribed by the doctor. In 95% of cases, one inhalation is carried out with a total volume of medication of 4 ml.
Pharmacological properties and medical indications for use
Berodual inhalations for coughing are aimed at eliminating the corresponding symptom in the presence of a decrease in the lumen of the bronchi. The cause of the characteristic symptom is a physical barrier to air in the form of a decrease in the diameter of the respiratory tract. Receptors that cause a reflex dry cough are irritated.
The patient has difficulty breathing due to the additional formation of thick mucus. The use of expectorants in combination with Berodual allows you to fight wet and dry cough at the same time.
Ipratropium bromide is an m-anticholinergic drug. This group of substances blocks the contact of acetylcholine with the corresponding receptors on the surface of smooth myocytes located around the bronchi.
The result is a decrease in the concentration of free calcium ions inside the cells, which reduces spasm of the airways with expansion of the lumen.
Due to this effect, the passage of air through the bronchi will increase.
Fenoterol is a β2-adrenergic receptor stimulant, which is located primarily in the smooth muscle of the respiratory tract. The relaxing effect on the bronchi is achieved by blocking inflammatory mediators (histamine), cold air, and allergens.
Indications according to official instructions:
- bronchial asthma;
- chronic obstructive pulmonary disease;
- bronchitis in a chronic form.
Important! The key point that influences whether to prescribe Berodual to a patient is the reversibility of the obstruction. Organic changes in the smooth muscles of the respiratory tract, which make expansion of the lumen by medication impossible, sharply reduce the effectiveness of therapy.
In addition to these indications, the drug is sometimes used in the complex treatment of other respiratory tract diseases - acute bronchitis, pneumonia, nasopharyngitis, laryngitis, and the like.
The use of the medicine is carried out only after a doctor’s prescription, taking into account all the individual characteristics of each clinical case. Occasional use in smokers is allowed.
Patients begin to cough less due to the expansion of the bronchi and improved air movement.
Inhalations with Berodual for dry and wet coughs: dosage and features of use in adults
For adult patients and adolescents over 12 years of age, the dosage of the drug for relieving bronchospasm ranges from 1 to 4 ml (20-80 drops, respectively) depending on the severity of the attack. The duration of the therapeutic course is selected individually.
The specified volume of medication is diluted with saline until the total amount of liquid is 4 ml - the standard dose for inhalation through a nebulizer.
Berodual for dry cough in children: correct dosage and method of administration
Berodual for cough for children is prescribed for exacerbation of bronchial asthma.
The dose depends on the age of the child:
- 6-12 years – 0.5-2 ml (10-40 drops);
- Under 6 years (or child weight up to 22 kg) – 0.1-0.5 ml (2-10 drops).
The use of Berodual for dry cough in children is carried out under the strict supervision of a doctor according to indications. The solution is diluted before each inhalation session. Residual liquid must be drained. The average session duration is 5-10 minutes.
Sometimes the drug is prescribed in the complex therapy of patients with barking cough caused by laryngitis. This recovery option is causing debate among doctors. The reason is the unreasonableness of treatment caused by the nature of the drug’s influence.
The use of Berodual for barking cough in children is aimed at relaxing the muscles of the respiratory tract. The symptom progresses in 70% against the background of swelling of the laryngeal mucosa. It turns out that the drug does not affect the pathological focus. Improvement in the condition occurs compensatoryly only after the root cause of the problem is eliminated.
Inhalations with Berodual for children with dry and wet cough are justified in cases of pathology of the bronchial muscles. Isolated laryngitis or pharyngitis is not a direct indication for prescribing the appropriate remedy. First, specialized treatment of the underlying pathology is carried out. In the absence of the desired result, the use of auxiliary means is allowed.
Despite this fact, in practice there are episodes of self-medication with the use of Berodual in situations where it is inappropriate. You should always consult your doctor first.
List of contraindications and side effects of Berodual
Contraindications to the use of Berodual for cough:
- severe organic heart damage – cardiomyopathy;
- arrhythmias with accelerated work of the heart muscle;
- pregnancy in the 1st and 3rd trimester;
- individual intolerance to the components of the product.
- The drug is prescribed with caution to patients who have had a myocardial infarction, suffering from hypertension, glaucoma, and vascular pathologies.
- Side effects occur when the medication is used incorrectly or for a long time.
- List of possible reactions:
- allergies such as anaphylactic shock, skin itching, urticaria;
- emotional fluctuations;
- cough;
- tachycardia;
- nausea, vomiting, diarrhea;
- dizziness;
- dry mouth;
- weakening of voice.
Important! Tremor is the most common side effect of cough therapy with this drug. Patients employed in areas where precision of movement is required should take this fact into account.
Drug interactions
Berodual combines well with drugs for the treatment of pathologies of the respiratory system. The medication enhances the effectiveness of glucocorticosteroids and products based on cromoglycic acid.
instructions for medical use of Berodual solution, for inhalation - DOWNLOAD
Precautionary measures
The medicine is used with caution in the second trimester of pregnancy and during lactation. The effect of the drug on the body of the mother and child has not been sufficiently studied. If adverse reactions or complications occur, therapy with Berodual is discontinued.
The medication should be stored at temperatures up to 30°C. Shelf life: 5 years.
Analogs
The price for Berodual is 270-280 rubles.
Analogs available in pharmacies:
- Ditek;
- Combivent;
- Intal;
- Seretide;
- Tevacomb.
Before using substitutes, consult a doctor.
Reviews
Berodual for inhalation is a popular remedy, hotly discussed on review sites. Below are some of the patients' opinions.
Alena, 27 years old: “The child started barking at night. I didn't know what to do with myself. A friend once said that Berodual helped them. At first I was afraid to give it, but the medicine helped.”
Artem, 34 years old: “The doctor prescribed Berodual for asthma. I go to the clinic and do inhalations as prescribed. It helps a lot, I’m out of breath less often now.”
Olga, 47 years old: “Berodual helps me with exacerbations of chronic bronchitis. The doctor taught me how to do inhalations at home. Now there is no need to run to the clinic every time.”
Conclusion
Berodual is an effective medicine for dilating the bronchi. The drug should be used only as prescribed by a doctor due to the risk of adverse reactions and complications. Self-medication is unacceptable.
Source: https://MyKashel.ru/preparaty/rastvor/berodual-dlya-ingalyatsij-pri-kashle.html